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Doctor insights on: Medication Therapy Management

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Does nonpharmacologic therapy for hypertension work?

Does nonpharmacologic therapy for hypertension work?

For mild high BP: Diet (no added salt, and cut back on processed foods, eating more fresh produce, fish, lean meats), regular exercise (doesn't have to be intense, duration is more important than intensity) , and weight loss (see the first two, add to them weight training three days a week) all reduce blood pressure over the long haul. ...Read more

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Dr. Alan Ali Dr. Ali
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What is anger management therapy?

Dr. Alan Ali Dr. Ali
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What is anger management therapy?

Anger management: First, identify the causes, then remedy those with help of a psychotherapist. Refer to our post on anger. ...Read more

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What conditions does Dialectical Behavioral Therapy treat?

What conditions does Dialectical Behavioral Therapy treat?

DBT: Why do you ask? DBT can be helpful for depression, anxiety, and sometimes for certain personality traits or obsessive compulsive disorder. It can be an adjunct to medications or in some cases an alternative. I would be happy to discuss options of therapy vs meds related to your specific situation by email, audio or visual consult on my concierge practice ...Read more

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Are there psychiatrists who provide more behavioral modification therapy than medication therapy?

Are there psychiatrists who provide more behavioral modification therapy than medication therapy?

Yes: Psychiatrists can provide the full range of therapies in addition to medication management. There are some out there that still do psychoanalysis, as well as many of the newer therapies including cognitive behavioral therapy and others. It may take internet searches or referrals to find them, however. ...Read more

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Adult adhd medication management help ?

Adult adhd medication management help


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Adult ADHD: Diagnosing ADHD in adults for the first time requires a careful history and evaluation to document onset in childhood. If childhood onset not clear, other causes for symptoms must be ruled out. Neuropsychologcal testing may be useful to clarify cognitive issues. Medications may be stimulants or non-stimulants. In addition, behavioral and coping strategies are often effective. I hope this helps. ...Read more

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What medication would be effective in combination with therapy in treating oppositional defiant disorder? Therapy alone isn't working. Which meds help

What medication would be effective in combination with therapy in treating oppositional defiant disorder? Therapy alone isn't working. Which meds help

Psychiatric Eval: Starting medication is a big step. Get a comprehensive psychiatric evaluation. If medication is the next step you want to be sure it is monitored. Talk to the therapist about your concerns, it might be helpful to try something different in therapy and/or more sessions. Groups can be helpful for both parents and children. Best wishes and good luck. ...Read more

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Hairfall treatment medication?

Hairfall treatment medication?

Depends on cause...: A primary care doctor can check for medical causes. If none are found, then one can see a dermatologist, especially one specializing in hair restoration (some treatments: minoxidil, finasteride, hair transplants,...). Medical causes may include hormonal problems (low thyroid), seborrhea, alopecia areata, stressful illness. Other causes: genetic male/female pattern baldness, telogen effluvium... ...Read more

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Is hypnotic therapy for anxiety effective?

Is hypnotic therapy for anxiety effective?

Yes it can be: In hypnosis, you're focusing very intensely on the hypnotist's voice & suggestions, screening out other things. It can be like getting involved in an exciting movie. Through practice, can learn how to focus on things other than anxious body symptoms -- which if you do that, they enlarge. Or there can be reframing of physical symptoms. Self-hypnosis can be very useful also. Session recordings help. ...Read more

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Can mindfulness-based cognitive therapy treat depression?

Can mindfulness-based cognitive therapy treat depression?

Yes...: Mindfulness based ct is an approved approach to treating depression; if depression is resistant or severe, medication may be a helpful complement to the psychotherapy... ...Read more

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Is mcu therapy effective for whiplash/neck pain treatment?

Is mcu therapy effective for whiplash/neck pain treatment?

Depends on patient: Multi-cervical unit (mcu) can help some patients. It would be best that you are evaluated by a physician who can determine if you would be candidate for this type of treatment. ...Read more

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Is dialectical behavior therapy helpful?

Is dialectical behavior therapy helpful?

Yes: Dialectical behavior therapy (dbt), is a type of psychotherapy aimed primarily at borderline personality disorder (bpd). Dbt is a cognitive behavioral therapy, meaning it is a therapy that focuses on the role of cognition (e.g., thoughts and beliefs) and behaviors (e.g., actions) in affecting mood and general functioning. It has been effective in treating bpd and other problems. ...Read more

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Is electroconvulsive therapy a practical treatment for depression?

Is electroconvulsive therapy a practical treatment for depression?

Yes, in some cases: According to mental health america, today, electroconvulsive therapy (ECT) is administered to about 100, 000 people a year. It has been shown in many (but not all) studies to be an effective treatment for severe depression, acute mania, and some schizophrenic symptoms. It is also used with some suicidal patients who would like a quicker effect than is possible with some medications. ...Read more

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Which conditions does electroconvulsive therapy treat?

Which conditions does electroconvulsive therapy treat?

Shock therapy: Electroconvulsive treatment has been shown to help medication resistant depression. ...Read more

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Is physical therapy a treatment option for muscular disorders?

Is physical therapy a treatment option for muscular disorders?

Yes: Muscular disorders is a general term and this could mean muscle weakness, muscle pain, muscle damage or atrophy, muscle spasm, tightness etc. All of these symptoms would be amenable to physical therapy although the techniques pt goals would differ depending on the condition. ...Read more

Dr. Alan Ali Dr. Ali
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Is electroconvulsive therapy an effective treatment for dysthymic disorder?

Dr. Alan Ali Dr. Ali
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Is electroconvulsive therapy an effective treatment for dysthymic disorder?

ECT: It can be used for clinical depression unresponsive to medications or other treatments or if cannot tolerate medications. ...Read more

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Does drug therapy work for anxiety disorders?

Does drug therapy work for anxiety disorders?

Yes: Both psychotherapy and medications can help people with anxiety disorders. Some people benefit from one or both of these types of treatment more than the other. Anxiety disorders tend to be fairly chronic for many people and so it is important to look for long term solutions. ...Read more

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How successful is tms therapy for someone with physical anxiety symptoms?

How successful is tms therapy for someone with physical anxiety symptoms?

Fair to good: i have seen some studies showing benefit from tms therapy for many forms of anxiety. in my practice, ssri therapy is far better and insurances rarely cover tms therapy which present another obstacle. ...Read more

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What to do if I have a mental illness and medication and therapy aren't helping. What else is there?

What to do if I have a mental illness and medication and therapy aren't helping. What else is there?

Don't know what the: disorder is. Talk about feelings & address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine & alcohol (or moderate). Try Qi Gong, Tai Chi, acupuncture, acupressure, homeopathy, meditation, Yoga, exercise program, deep breathing exercises or Progressive muscle relaxation. ...Read more